Provider Demographics
NPI:1497725311
Name:ROGERS, SARA LYNNE (MD, DVM)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:LYNNE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD, DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 RALEIGH LAGRANGE RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-6912
Mailing Address - Country:US
Mailing Address - Phone:901-377-6143
Mailing Address - Fax:
Practice Address - Street 1:1650 COCHRAN CIRCLE
Practice Address - Street 2:
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913
Practice Address - Country:US
Practice Address - Phone:719-526-7943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO43104207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology